Next book

AT WHAT COST

MODERN CAPITALISM AND THE FUTURE OF HEALTH

A grim, well-researched case that capitalism is wildly dysfunctional but that reform is possible, if not imminent.

A study of the disastrous collision of capitalism and public health.

Capitalism gives off a fusty air, so many leaders prefer the term free market to describe the system that dominates global economies—and whose flaws are no secret to scholars, including Freudenberg, an expert on public health policy. Since the peak of the so-called “welfare state” in the 1960s, writes the author, the U.S. has adopted neoliberalism, whose strategies of deregulation, tax cuts, privatization, and austerity grant capital markets supreme authority. After the introduction, Freudenberg presents six long chapters on the dismal state of what he calls “the pillars of health.” Our global food system has largely eliminated famine, replacing it with an epidemic of overnutrition, obesity, and diet-related diseases, the result of an avalanche of low-quality, superprocessed, calorie-dense quasi-foods. Education leads to better health, but declining government support has led to an explosion of private enterprise. Charter schools suck money from public funds with the promise of a cheaper, better product, but they have not delivered. For-profit colleges verge on scams, and adolescents are becoming addicted to their electronic devices at the expense of human interaction, a situation that causes depression and anxiety. In the sole chapter that focuses exclusively on health care, the author discusses the war on cancer. He shows how pharmaceutical companies, in their obsessive search for a “blockbuster drug,” churn out wildly expensive chemotherapeutics that may or may not prolong life a few months. In his conclusion, Freudenberg works hard to project optimism. Unions remain moribund, but low-paid workers continue to organize to press for better conditions; others have launched cooperative business ventures. Though the federal government is consistently gridlocked, the author describes state and city programs that provide child care, family leave, affordable public transportation, and living wages. Ultimately, these efforts must coalesce into a mass movement with political clout, and Freudenberg remains hopeful.

A grim, well-researched case that capitalism is wildly dysfunctional but that reform is possible, if not imminent.

Pub Date: March 1, 2021

ISBN: 978-0-19-007862-1

Page Count: 392

Publisher: Oxford Univ.

Review Posted Online: Nov. 23, 2020

Kirkus Reviews Issue: Dec. 15, 2020

Awards & Accolades

Likes

  • Readers Vote
  • 12


Our Verdict

  • Our Verdict
  • GET IT


  • New York Times Bestseller

Next book

POVERTY, BY AMERICA

A clearly delineated guide to finally eradicate poverty in America.

Awards & Accolades

Likes

  • Readers Vote
  • 12


Our Verdict

  • Our Verdict
  • GET IT


  • New York Times Bestseller

A thoughtful program for eradicating poverty from the Pulitzer Prize–winning author of Evicted.

“America’s poverty is not for lack of resources,” writes Desmond. “We lack something else.” That something else is compassion, in part, but it’s also the lack of a social system that insists that everyone pull their weight—and that includes the corporations and wealthy individuals who, the IRS estimates, get away without paying upward of $1 trillion per year. Desmond, who grew up in modest circumstances and suffered poverty in young adulthood, points to the deleterious effects of being poor—among countless others, the precarity of health care and housing (with no meaningful controls on rent), lack of transportation, the constant threat of losing one’s job due to illness, and the need to care for dependent children. It does not help, Desmond adds, that so few working people are represented by unions or that Black Americans, even those who have followed the “three rules” (graduate from high school, get a full-time job, wait until marriage to have children), are far likelier to be poor than their White compatriots. Furthermore, so many full-time jobs are being recast as contracted, fire-at-will gigs, “not a break from the norm as much as an extension of it, a continuation of corporations finding new ways to limit their obligations to workers.” By Desmond’s reckoning, besides amending these conditions, it would not take a miracle to eliminate poverty: about $177 billion, which would help end hunger and homelessness and “make immense headway in driving down the many agonizing correlates of poverty, like violence, sickness, and despair.” These are matters requiring systemic reform, which will in turn require Americans to elect officials who will enact that reform. And all of us, the author urges, must become “poverty abolitionists…refusing to live as unwitting enemies of the poor.” Fortune 500 CEOs won’t like Desmond’s message for rewriting the social contract—which is precisely the point.

A clearly delineated guide to finally eradicate poverty in America.

Pub Date: March 21, 2023

ISBN: 9780593239919

Page Count: 288

Publisher: Crown

Review Posted Online: Nov. 30, 2022

Kirkus Reviews Issue: Jan. 1, 2023

Next book

BEYOND THE GENDER BINARY

From the Pocket Change Collective series

A fierce, penetrating, and empowering call for change.

Artist and activist Vaid-Menon demonstrates how the normativity of the gender binary represses creativity and inflicts physical and emotional violence.

The author, whose parents emigrated from India, writes about how enforcement of the gender binary begins before birth and affects people in all stages of life, with people of color being especially vulnerable due to Western conceptions of gender as binary. Gender assignments create a narrative for how a person should behave, what they are allowed to like or wear, and how they express themself. Punishment of nonconformity leads to an inseparable link between gender and shame. Vaid-Menon challenges familiar arguments against gender nonconformity, breaking them down into four categories—dismissal, inconvenience, biology, and the slippery slope (fear of the consequences of acceptance). Headers in bold font create an accessible navigation experience from one analysis to the next. The prose maintains a conversational tone that feels as intimate and vulnerable as talking with a best friend. At the same time, the author's turns of phrase in moments of deep insight ring with precision and poetry. In one reflection, they write, “the most lethal part of the human body is not the fist; it is the eye. What people see and how people see it has everything to do with power.” While this short essay speaks honestly of pain and injustice, it concludes with encouragement and an invitation into a future that celebrates transformation.

A fierce, penetrating, and empowering call for change. (writing prompt) (Nonfiction. 14-adult)

Pub Date: June 2, 2020

ISBN: 978-0-593-09465-5

Page Count: 64

Publisher: Penguin Workshop

Review Posted Online: March 14, 2020

Kirkus Reviews Issue: April 1, 2020

Close Quickview